CATHERINE GRACE KELLY FNP
NPI 1609280833
Nurse Practitioner - Family in Fort Defiance, AZ
About Catherine Grace Kelly Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CATHERINE GRACE KELLY FNP (NPI 1609280833) is an individual family provider in Fort Defiance, Arizona, licensed in Montana (NUR-APRN-LIC-100842) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Defiance, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Catherine Grace Kelly Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Catherine Kelly reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Grand Junction, CO 81501
- Reassigned Medicare billing, Colorado enrollment
- 49 clinicians in this Medicare group
Arapahoe, WY 82501
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: U S Health Dept Of Health & Human Services
- 306 clinicians in this Medicare group
Gardiner, MT 59030
- Reassigned Medicare billing, Montana enrollment
- 96 clinicians in this Medicare group
Columbus, MT 59019
- Reassigned Medicare billing, Montana enrollment
- 91 clinicians in this Medicare group
Hardin, MT 59034
- Reassigned Medicare billing, Montana enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Catherine Kelly's NPI number?
The NPI number for Catherine Kelly is 1609280833. It was assigned to this individual provider in the NPPES registry on June 16, 2014.
Where is Catherine Kelly located?
Catherine Kelly practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8600.
What is Catherine Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Catherine Kelly enrolled in Medicare?
Yes. Catherine Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Catherine Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Kelly reassigns Medicare benefits to 6 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ), Colorado West Emergency Physicians, LLC (Grand Junction, CO), Us Health Dept Of Health & Human Services (Arapahoe, WY), Livingston Healthcare (Gardiner, MT), Stillwater Hospital Association, Inc. (Columbus, MT) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Catherine Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Catherine Kelly accept?
Health plans from Providence Health Plan list Catherine Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Catherine Kelly was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Catherine Grace Kelly, FNP · NPI 1609280833
Family physician in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since June 16, 2014.
## Identity
- **NPI:** 1609280833 (Entity type: Individual)
- **Enumerated:** June 16, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NUR-APRN-LIC-100842 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
- **Phone:** (928) 729-8600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ); Colorado West Emergency Physicians, LLC (NPI 1780626069, Grand Junction, CO); Us Health Dept Of Health & Human Services (NPI 1104976372, Arapahoe, WY); Livingston Healthcare (NPI 1225670375, Gardiner, MT); Stillwater Hospital Association, Inc. (NPI 1053488387, Columbus, MT); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1609280833) · Data from the CMS NPPES public registry.